Kotronia, E; Brown, H; Papacosta, AO; Lennon, LT; Weyant, RJ; Whincup, PH; Wannamethee, SG; Ramsay, SE
(2021)
Poor oral health and the association with diet quality and intake in older people in two studies in the UK and USA.
Br J Nutr, 126 (1).
pp. 118-130.
ISSN 1475-2662
https://doi.org/10.1017/S0007114521000180
SGUL Authors: Whincup, Peter Hynes
Abstract
We aimed to investigate the associations of poor oral health cross-sectionally with diet quality and intake in older people. We also examined whether change in diet quality is associated with oral health problems. Data from the British Regional Heart Study (BRHS) comprising British males aged 71-92 years and the Health, Aging and Body Composition (HABC) Study comprising American males and females aged 71-80 years were used. Dental data included tooth loss, periodontal disease, dry mouth and self-rated oral health. Dietary data included diet quality (based on Elderly Dietary Index (BRHS) and Healthy Eating Score (HABC Study)) and several nutrients. In the BRHS, change in diet quality over 10 years (1998-2000 to 2010-2012) was also assessed. In the BRHS, tooth loss, fair/poor self-rated oral health and accumulation of oral health problems were associated with poor diet quality, after adjustment. Similar associations were reported for high intake of processed meat. Poor oral health was associated with the top quartile of percentage of energy content from saturated fat (self-rated oral health, OR 1·34, 95 % CI 1·02, 1·77). In the HABC Study, no significant associations were observed for diet quality after adjustment. Periodontal disease was associated with the top quartile of percentage of energy content from saturated fat (OR 1·48, 95 % CI 1·09, 2·01). In the BRHS, persistent low diet quality was associated with higher risk of tooth loss and accumulation of oral health problems. Older individuals with oral health problems had poorer diets and consumed fewer nutrient-rich foods. Persistent poor diet quality was associated with oral health problems later in life.
Item Type: |
Article
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Additional Information: |
Correction available at https://doi.org/10.1017/S0007114521000878
© The Author(s), 2021. Published by Cambridge University Press on behalf of The Nutrition Society. This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited. |
Keywords: |
Change in diet quality, Dental problems, Energy from fat, Macronutrients, Micronutrients, Processed meat, Protein intake, Vitamins, change in diet quality, dental problems, energy from fat, macronutrients, micronutrients, processed meat, protein intake, vitamins, 0702 Animal Production, 1111 Nutrition and Dietetics, 0908 Food Sciences, Nutrition & Dietetics |
SGUL Research Institute / Research Centre: |
Academic Structure > Population Health Research Institute (INPH) |
Journal or Publication Title: |
Br J Nutr |
ISSN: |
1475-2662 |
Language: |
eng |
Dates: |
Date | Event |
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14 July 2021 | Published | 20 January 2021 | Published Online | 6 January 2021 | Accepted |
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Publisher License: |
Creative Commons: Attribution 4.0 |
Projects: |
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PubMed ID: |
33468264 |
![](http://static.pubmed.gov/portal/portal3rc.fcgi/2745237/img/27842) |
Go to PubMed abstract |
URI: |
https://openaccess.sgul.ac.uk/id/eprint/112861 |
Publisher's version: |
https://doi.org/10.1017/S0007114521000180 |
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